Health initiatives Consulting

LeadinG Value-based Care Success

She has more than 20 years of diverse healthcare and health IT experience in both the private and government sectors. Her areas of healthcare expertise include value-based payments, population health management, new value-based care delivery models, and optimization of innovative health IT platforms. 


Our Team uses multi-tiered value-based models to identify the stage of VBC maturity of an organization through the assessment of key traits and then  makes recommendations on next steps to ensure transformation progresses for their organization.  

Rhonda Metze, Founder/CEO

Prior to her consultant work, Espersen was the Quality Director at an FQHC in the Midwest. She works with healthcare and public health organizations across the nation, providing technical assistance around new initiatives, data fidelity, patient engagement and quality improvement. She is an adjunct instructor at Drake University where she teaches Social Determinants of Health. 

Loretta Khangura, MPH, RN, CHTS-CP

VP, Practice Transformation

Chris Espersen, MSPH

VP, Health Transformation

& Engagement Strategy

Our Mission:

"We understand the rapidly changing healthcare environment and the complexities both clinical and non-clinical teams face every day on their journey to value-based care success.  Our mission is to serve as trusted advisors to providers, patients, payers and vendors in a way that is meaningful and that empowers effective collaboration across all stakeholders committed to transforming healthcare and creating a healthier nation through the access of timely, integrated data, needed to ensure high-quality, cost-effective healthcare delivery to all populations when they need it, and in the way, they deserve it – a.k.a. the Quadruple Aim!" 

-  Rhonda Metze, Founder & CEO

Meet our advisors:


She is an RN with an MPH from John Hopkins University. She has decades of experience in Public Health, Primary Care and Healthcare Analytics. She was worked in governmental public health, home health, hospitals, and the population healthcare IT industry. She has been a Perinatal Program Manager, QI Director, and the Director of Population Health in FQHC's

We work with organizations to  identify technology barriers, data capture and data integrity,  provide extensive workflow assessments, training, and processes to take your service team to the next level. 

We monitors Key Performance Indicators at 3-week intervals, adjusting strategies as needed to ensure that established changes don't revert. 


Our Methodology:

Once we have executive buy-in, we oversee the implementation process from start to finish. We'll also help you with any road-bumps along the way.


Population Health Management (PHM) is a common term in today’s healthcare environment. Health Initiatives Consulting’s (HIC) industry experts and experienced transformation advisors take PHM to the next level.

We serve as trusted advisors to providers, networks, health systems, payers and vendors seeking to collaborate, innovate and navigate the journey to Value-Based Care (VBC) success. We work with clients across the nation using proven multi-tiered VBC models. These models help us identify what your needs are, which allows us to make recommendations to ensure VBC success. 

Our expert advisors will help your organization adopt or strengthen current population health management goals and objectives, as well as work with you to define and execute new strategic and tactical goals supporting your transition from fee-for-service (FFS) models to new multi-payer VBC models.